Clinical Dental Technicians (CDTs) are Dental Technicians who have taken additional qualifications to allow them to work directly to the public. It is illegal for Dental Technicians to work clinically. CDTs can provide a variety of removable dental appliances such as dentures, sports mouth guards and anti-snoring devices. They have been trained in the skills and procedures they need to be able to provide such appliances directly to the public. Skills such as cross infection control procedures, medical emergencies, oral cancer screening and understanding the effects of medication. CDTs can also provide other services such as tooth whitening and change implant attachments under a prescription from a dentist. CDTs are the newest member of the dental team. They came about following a report in 1990 by The Nuffield Foundation commissioned by the government. The report identified a number of failings in dentistry in the UK. It looked at the success in other counties such as Canada and Australia where CDTs had been legal for many years. The report recommended the same model should be applied in the UK. The report also found that many denture wearers were already avoiding the services of a dentist as they were unhappy with the dentures they received and were going directly to Dental Technicians. However, these patients where putting their health at risk as Dental Technicians were not adequately trained clinically. The Dentistry Act was amended in 2006 and Dental Technicians were invited to undertake clinical training. There are currently about 400 CDTs in the UK (at the time of writing). All Dental Technicians have been given the opportunity to train clinically however many still operate illegally. If you are offered dental appliances – tooth whitening you should check you are using the services of a suitable qualified Dental Professional. You can do this by visiting the web site of the General Dental Council (GDC) www.gdc-uk.org/Pages/default.aspx to check their registration details. Please click on their name to check they are a Dentist or Clinical Dental Technician.
• Rinse your denture in warm (not hot) water after ever meal. • Clean you dentures at least twice a day with a soft tooth brush or denture brush and non-abrasive denture cream or paste. • Never use abrasive powders or regular toothpaste as these could scratch the surfaces, making it more difficult to clean your dentures in the future. • When brushing your dentures ensure you have a few inches of water in the basin to avoid breaking them if you were to drop them. • Occasionally, soaking your acrylic dentures in a product such as Steradent is useful in removing persistent stains and some calculus. Soaking metal dentures in these products is not recommended as it may cause them to tarnish.
Dentures should be removed at night to give your mouth a rest and to allow saliva to wash freely around your mouth. This will help prevent gum infections and bad breath. When out of the mouth, dentures should be kept in water (not hot) to prevent them drying out and warping.
It is perfectly natural to produce excessive saliva when you first wear dentures. The best way to overcome this is to persevere wearing them.
New dentures are not often tight at the time of fitting, you should allow between 5 to 8 hours for your dentures to settle into your mouth. Please be aware that in some cases you may need to use denture fixative cream or paste.
A new denture will settle fully in approximately 2 to 4 weeks. During this stage they bed deeper in the mouth are most likely to cause soreness. This is normal, but you will need them adjusting. Even though your mouth may be sore please try to wear the dentures prior to your appointment as this will help us know where the pressure spot is.
You may do this at first, but it usually corrects itself after a short time when the muscles have adjusted themselves to the new support.
Speaking may seem strange or even difficult at first. This is because your tongue has to learn where the teeth are. It is a good idea to read aloud to yourself for short periods during the first few days.
The teeth on your denture have been placed as near as possible to the position of your natural teeth, in order to support your lips and cheeks and give you a natural appearance. You can expect to undergo a period of awkwardness while getting used to the dentures. The feeling will wear off as you become accustomed to them.
When you begin eating with your new dentures, it is important to start slowly by taking small amounts of food until you become accustomed to them. Eating can be the most difficult part of mastering new dentures. You must not be discouraged if you experience a few failures at first.